Thursday, June 08, 2006

A case of Grade 1 anterolisthesis of L4-L5

The patient complained of severe throbbing biting pain in the left gluteal region with difficulty in walking since the last four months. The complaints got aggravated after a
fall in the bath room.

The pain is aggravated by walking +2, Standing and the pain I s ameliorated by lying on the painful side and rest.

He MRI –LS spine shows grade 1 anterolisthesis of L4-L5 mild posterior bulge of desiccated L4-5 disc indenting the thecal sac and the left L5 nerve root. The patient comes from a lower economic background and they didn’t have the necessary funds to carry out the surgery that had been advised by the orthopedic.

So the patient was referred to us if we can relieve the pain. So we took the case. The patient comes from a small village .She is very much lively in her talk she said she used to work in the farms since she was young and she enjoyed working in the village. She came to the city of Mumbai after her marriage and here the situation is very different.

They are staying in the slums in a very small room and people around them are not good. She is not happy. Her husband is very dominating and he keeps on commenting about the way she walks due to the pain and insults her often. She feels very bad about it and when insulted she weeps. We asked the husband why he does it he said he had to get married to her against his wish; as in their community what ever parents decide has to be followed.

He is not happy with their marriage so he seldom gets angry on her. He is very dominating and doesn’t allow her to talk even when he was there him the consulting room we had to ask him to wait outside to interact with the patient.

The patient then told us there were lot of problems in their martial life and they didn’t get along well.Inspite of the fact that she looks well after her in laws and brother in law. She is never appreciated for it. She feels very much neglected as there is nobody on her side. Her father passed away due to tuberculosis at a very young age since that time she is leading a very tough life.

She likes to listen to music very much and she feels relaxed after listening to it. She also sings and which helps her to relax. She is very sensitive by nature and if some says something wrong she cannot forget it broods over it for a long time. But she will express it when she is angry. She says she is not revengeful at all.

Menses: Regular. Leucorrhea. Most of her complaints got aggravated after the tubectomy surgery.

On examinationMultiple moles on the body
Pigmentation on the face
Gums swollen
R.S: NAD
C.V.S: NAD
B.P:100/70mm of Hg
There was tenderness in the back and there was restricted movement of the lower limb.

22/4
Pain in the back persists
Cannot remember dreams
Sleep is disturbed.
Dreams cannot remember
The biting sensation is better
Rx
Ct all 14 days

3/5/

Pain is better
Numbness and biting sensation is better
Sleep is better

Rx
Ct all 14 days
4/9

The patient reported after a period of 6months and we asked was didn’t she report as she was getting better. She told us as there were no complaints she went to the village. She was better all these days but now the pain has started as she had exerted her self a lot in the fields.
We explained her again her condition and she shouldn’t exert herself. Same medicine was repeated.
After this the patient reported once on the phone that she is much better. And she has discontinued the medication on her own.

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About Me

Dr.Santosh Joshi is a Classical Homeopath and practices Classical
Homeopathy in the city of Mumbai and via his various websites provides
consultation to patients from all over the world.(www.drjoshis.com,www.happylivin.com,www.homeopathywomen.com,www.homeopathyallergies.com) Dr.Joshi is working in
the field of Autism spectrum disorder for the past 13 years and is a
ardent promoter of early intervention,role of Homeopathy,Diet and
therapy in treating Autism.

Dr.Joshi looks into cases of autism ranging from mild-moderate-severe
, with the in-depth analysis and evaluation of every case we have been
able to achieve good results in treating autism.We also are a strong
advocate of the necessity of Dietary intervention and therapies which
are an essential part of the line of treatment.

We at Center for Autism follow a standard protocol for treating our
patients, we also take help of state of art Homeopathic software in
evaluating the autism case histories for the right Homeopathic medicine
which plays a crucial role in treating autism.Homeopathic medicines are
very effective in increasing the eye contact,social behavior,reducing
hyperactivity,addressing the sensory issues and in certain cases the
violent behavior due to obsessive compulsive disorder are handled with
care.

Our Center is focusing and studying various ways in which we can
effectively handle the growing cases of Autism , and also advice gluten
free casein free diet which is helpful.

Glimpses of Experience & Expertise:

12 years of Clinical experience in treating complex diseases with
Homeopathy at his Happy Livin Centre and via online consultation

Ex Director in a wellness company in the field of Homeopathy, Diet
& Nutrition, Yoga & Naturopathy, Ayurveda, Siddha and Unani
medicine. He was also heading the Education in Homeopathy department.

Honorary Speaker at First CME held at Chokshi Auditorium in Tata Memorial Hospital on Application of Tele Medicine in Homeopathy

Honorary Speaker at Birla Matoshree Auditorium on Role of Computers in Homeopathy

Honorary Speaker at AICAR Business School on Role of Tele Medicine in Rural setup, to policy makers and budding entrepreneurs

Won a prize for his paper presentation on Successful management of a
case of Grade 4 Astrocytoma and its Homeopathic management at a all
India Level Homeopathic Case Presentation organized by BEACON foundation

Honorary Speaker at a Convocation Ceremony of Cosmetology at Trinity Academy where he spoke on - His Road to Entrepreneurship

His article on Role of Homeopathy in Autism has been published in
Homeopathy International - The Homeopathic Medical Association U.K.

His article on Don't Stress me - On Examination stress has been published in Hindustan times

Education:

Bachelor of Homoeopathic medicines and surgery (B.H.M.S) from University of Pune in the year 1999.

Training in the Institute of clinical research (ICR) Pune.

Knowledge and Professional Experience:

Dealing with Acute and Chronic cases and its management with Homoeopathic medicines.

Working in the field of treating woman's diseases with
special interest in polycystic ovarian syndrome (PCOS), Fibroadenoma of
the breast, uterine fibroids. He has worked in the Gynecology and
Obstetrics department at Cantonment hospital Pune

Dealing with respiratory tract diseases with special
interest in Allergies, Bronchial Asthma as well in acute and chronic
bronchitis in children and adults and its management

Running a successful online homeopathic consultancy services since the last 10 years

Treating Diabetes and it complications. He was
associated with the dialysis unit at the Lions tarachand hospital where
he developed the interest of treating Diabetic nephropathy and other
complications of diabetes like non healing ulcers and neuropathy

He had the opportunity to work with senior
dermatologists at the cantonment hospital in pune where he saw many
patients and developed the interest in treating atopic dermatitis, Acne
vulgaris as well as roseacea, Herpes zoster and herpes simplex, Hair
loss and other skin ailments through homeopathy. He has been
successfully treating skin ailments since then

Treating patients suffering from depression and other mental disorders

Treating children who suffer from behavioral disorders and autistic complex disorder

Worked with a senior pediatrician in neonatology and pediatrics at Bhide Hospital

Worked in Lions Tarachand Bappa hospital as a resident
medical officer. Dealt with the various aspects in General surgery,
Gynecology, Neonatology, renal diseases and dialysis

Worked with a Cosmetic surgeon Dr. Sunil Keswani learned the various aspects of burns case management

Worked in the organizing committee in 2 major
International Homoeopathic Conferences in Mumbai Simillimum 2000 and
2001 held at Shanmukhanand Hall Mumbai

Organized 2 seminars during college years and visited rural medical camps and treated patients

Worked in the Organizing Committee of Simillimum 2003 conference at Birla Matushri in Mumbai

Was invited for the W.H.O sponsored seminar on Management of Geriatric diseases and its Homeopathic management